| Kenneth Bryan Beach, CRNA | |
|
112 Jefferson St, West Union, IA 52175-1022 | |
| (563) 422-9738 | |
| Not Available |
| Full Name | Kenneth Bryan Beach |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 112 Jefferson St, West Union, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740239862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | D-119341 (Iowa) | Primary |
| Entity Name | Palmer Lutheran Health Center Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1598765398 PECOS PAC ID: 4284544255 Enrollment ID: O20061104000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Bryan Beach, CRNA 13646 240th St, West Union, IA 52175-9419 Ph: (563) 422-5386 | Kenneth Bryan Beach, CRNA 112 Jefferson St, West Union, IA 52175-1022 Ph: (563) 422-9738 |
Mr. Richard Yngve Jacobson Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 112 Jefferson St, West Union, IA 52175 Phone: 563-422-3811 | |
Barry Spreen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 112 Jefferson St, West Union, IA 52175 Phone: 319-422-3811 | |
Nikki A. Bonitz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 112 Jefferson St, West Union, IA 52175 Phone: 563-422-7381 | |
Mr. Glenn Ray White, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 112 Jefferson St, West Union, IA 52175 Phone: 563-422-3811 |